Bulbous nose with thick nose tip...any solution?

What procedure can be done that does not bring a dramatic change to the face but contours the nose tip to look more refined?

Doctor Answers 7

Recontouring thick skin to treat tip bulbosity

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It can be difficult to fully refine tip bulbosity in patients with thick skin. In some cases the skin can be thinned somewhat. It's also helpful, in many patients, to actually build up the nose to better support the skin and give a more refined appearance.

Seattle Facial Plastic Surgeon
4.9 out of 5 stars 22 reviews

Thinning tip Skin & cartilage will reduce a bulbous tip.

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There are a few different techniques to 'refine' a bulbous nasal tip. In addition to the typical surgical excisions to the alar (tip) cartilage to reduce its size; careful removal of the subdermal soft tissue can thin the skin and improve its ability to redrape around the smaller tip cartilages. 

Donald T. Levine, MD
Nyack Facial Plastic Surgeon


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In your case, you would benefit from  reduction and recontouring the tip cartilage.  There are many different  techniques for performing this which can be explained by an experienced rhinoplasty surgeon.  Either the open or closed rhinoplasty approach can be used for this.  Another thing that helps in reducing the fullness of the tip after surgery is for the surgeon to inject a steroid into the nasal tip a few months after surgery.  I have found this quite beneficial in improving the bulbous appearance of the nasal tip.

Ronald J. Edelson, MD
San Diego Plastic Surgeon
5.0 out of 5 stars 31 reviews

You need a tip rhinoplasty

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Bulbous nasal tips are the result of excess nasal tip cartilages, overly thick skin, or both. Patients with thick nasal skin are challenging because it makes it more difficult to see the underlying cartilage structures. Some patients actually require excision of some of the underlying skin tissues.

Kevin Brenner, MD, FACS
Beverly Hills Plastic Surgeon
4.9 out of 5 stars 23 reviews

Bulbous Tip with Thick Skin

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Your bulbous tip with thick skin can be improved by narrowing the tip and the base of your nose. A picture of you profile would be helpful, but many times we add cartilage to increase tip projection and therefore improve tip definition. A thorough consultation will establish reasonable expectations.

Richard W. Fleming, MD
Beverly Hills Facial Plastic Surgeon
4.9 out of 5 stars 43 reviews

Bulbous nose with thick skin

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From the  photos it appears you have very thick skin, which makes your results very limited. I agree with the previous post. You would need cartilage to give a more defined framework, so when skin re-drapes it appears that the tip is more defined. However, your expectations must be adjusted how much refinement you can expect.


Michel Siegel, MD
Houston Facial Plastic Surgeon
4.6 out of 5 stars 113 reviews

Options for thick skin

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Thicker skin noses in general need plenty of strong cartilage underneath the skin to have a good shape – your surgery may even require use of rib cartilage

Sam Naficy, MD, FACS
Seattle Facial Plastic Surgeon
4.7 out of 5 stars 231 reviews

These answers are for educational purposes and should not be relied upon as a substitute for medical advice you may receive from your physician. If you have a medical emergency, please call 911. These answers do not constitute or initiate a patient/doctor relationship.